Suresh Venkatesan, Richards Royan, Bitsiadou Maria, Sarkar David
Derriford Hospital, Plymouth, PL6 8DH, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.08.2008.0729. Epub 2009 Feb 16.
Lyme disease is a recognised cause of atrioventricular heart block. In the majority of cases conduction disturbances are reversed with antibiotic treatment. The diagnosis of Lyme disease is not always obvious and its recognition is important if unnecessary implantation of a permanent pacemaker is to be avoided. A 34-year-old man presented to our hospital with complete heart block due to Lyme carditis. This resolved completely within a few days after treatment with appropriate antibiotics.